Acute and Complex MSK Injury

Question 0

what is second priority for trauma?

Answer 0

cannulation and IV access

Question 1

first thing to look at in trauma patient?

Answer 1

vitals, don’t be distracted by deformity

DRS ABDCEFG

Question 2

how to assess Airway?

Answer 2

speaking full sentences

GCS 15

Question 3

how to assess Breathing?

Answer 3

trachea
RR
Sats

Question 4

how to assess Circulation?

Answer 4

HR

BP

Question 5

how to assess Disability?

Answer 5

quick neuro test

Question 6

how to assess Exposure?

Answer 6

look on the body for fractures or defotmities

Question 7

risks of open fractures?

Answer 7

infection

fat embolus

Question 8

priority of fractures?

Answer 8

reduce and immobilize with proofol and ketamine

Question 9

what is a trauma series of x-rays?

Answer 9

CXR
Pelvis
C-spine

Question 10

what is CXR NOT good for lookin at?

Answer 10

rib fractures

Question 11

if lying flat CXR how to tell pneumothorax?

Answer 11

deep sulcus sign, air pushes diaphragm down

Question 12

how to tell is there is haemothorax on CXR lying down?

Answer 12

looks paler cause of blood

Question 13

why is the aortic arch at risk in trauma?

Answer 13

shearing from sudden deceleration will tear the ligamentum arteriosum on the arch

Question 14

how to describe a fracture?

Answer 14

what bones
location: distal, proximal
Kind: transverse, oblique, spiral, segmental
Position: shortened, displaced
angulation: assume proximal is normal position

Question 15

features to determine limb viability

Answer 15

neuro
pulses
debris
devascularized tissue?

Question 16

describe tetanus prophylaxis in someone with and without vaccine

Answer 16

If had childhood: give IgG and booster if >10 years

If had no childhood: give IgG, booster, month, then year

Question 17

what Abx if gram +ves skin flora?

Answer 17

cefazolin

Flucloxicillin

Question 18

what gram -ve Abx for dirty wound?

Answer 18

metronidozole
timentin
tazocin
clinda/cipro if pen. allergic

Question 19

what is damage control surgery?

Answer 19

go in, plug the bleeds, less than an hour, stabilize

Question 20

options for skin loss?

Answer 20

graft

suture

Question 21

4 complications of fracture management and Sx?

Answer 21

DVT, PE
ARDS
Fat Embolus
Acute infection

Question 22

Emerg framework: DAVIIDD

Answer 22

Diet: Nil by mouth
Activity: NWB-ing
Vitals : monitoring
IVs: fluid balance
Investigations
Drugs
Drains

Question 23

why would WBCs be high after acute injury without infection?

Answer 23

stress response